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Organization

BROWN ANESTHESIA, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KRISTOPHER MILES BROWN CRNA, ARNP (PRESIDENT)
(253) 389-8601
Entity
Organization

Contact information

Practice address
502 S M ST, TACOMA, WA 98405-3728
(253) 627-8266
Mailing address
2814 LEXINGTON ST, STEILACOOM, WA 98388-2908
(253) 389-8601

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60077293
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0250144
LABOR AND INDUSTRIES
WA
05
9640954
WA
Enumeration date
11/06/2012
Last updated
11/06/2012
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